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Individual
MR. TIMOTHY ALLEN EACRET
Active
Individual
MR. TIMOTHY ALLEN EACRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014878A
IN
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2016
Last updated
03/05/2026
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